I don't know, I probably would, even without your midwife. Last time (after 2 losses and then a very monitored pregnancy with DD with betas and early and often u/s) I took the low tech approach and did nothing. And had a loss at 8 weeks. I'm going in for betas tomorrow and a u/s around 6-7 weeks. I have to see a heartbeat at the earliest opportunity. All of my losses started with spotting for 1-2 weeks, 2 ended naturally after that, 1 (11 week loss) had to have D&C.